Active NPIIndividual provider

Alyse M Scanlon, LICSW

Social Worker in Waltham, Massachusetts

NPI Number1194447466
Practice location
157 Overland RD, Waltham, MA 02451
Fax
978-528-7810
Last updated
March 3, 2025

Alyse M Scanlon is a Social Worker based in Waltham, MA. Alyse M Scanlon practices in Waltham, MA and has the professional credentials of LICSW. The NPI Number for Alyse M Scanlon is 1194447466 and holds a License No. 126669 (MA). The current practice location address for Alyse M Scanlon is 157 Overland RD, Waltham, MA 02451 and can be reached out via phone at 978-528-7800 and via fax at 978-528-7810.

Provider Profile Details

NPI Number
1194447466
Provider Name
Alyse M Scanlon
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
157 Overland RD, Waltham, MA 02451
Phone Number
978-528-7800
Fax Number
978-528-7810
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
September 14, 2022
Last Update Date
March 3, 2025
Certification Date
February 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
157 Overland RD
Waltham, MA 02451
Zip
02451
Phone Number
978-528-7800
Fax Number
978-528-7810
Waltham, MA 02451Get directions →

Provider Business Mailing Address Details

Address
157 Overland RD
Waltham, MA 02451
City
Waltham
State
MA
Zip
02451
Phone Number
781-641-8500
Fax Number
781-646-5172

License Information

License Number
126669
License State
MA
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alyse M Scanlon, LICSW?

The NPI number of Alyse M Scanlon, LICSW is 1194447466. It was assigned on September 14, 2022 and is currently active in the NPPES registry.

What is the specialty of Alyse M Scanlon, LICSW?

Alyse M Scanlon, LICSW is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number 126669.

Where does Alyse M Scanlon, LICSW practice?

The practice location is 157 Overland RD, Waltham, MA 02451. The office can be reached at 978-528-7800 (phone) or 978-528-7810 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194447466 directly on the NPPES registry website.

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